<form action="{:url()}" method="post" class="form_single">
    <div class="box">
      <div class="box-body">
        <div class="row">
          <div class="col-md-6">
            <div class="form-group">
              <label>用户昵称</label>
              <span>（提现用户）</span>
              <input class="form-control" value="{$info['user_nickname']}" type="text" readonly>
            </div>
          </div>
          <div class="col-md-6">
            <div class="form-group">
              <label>提现金额</label>
              <span>（用户申请提现的金额）</span>
              <input class="form-control" value="¥{$info['amount']}" type="text" readonly>
            </div>
          </div>
 
          <div class="col-md-6">
            <div class="form-group">
              <label>手续费</label>
              <span>（提现手续费）</span>
              <input class="form-control" name="fee" placeholder="请输入手续费" value="{$info['fee']}" type="number" step="0.01">
            </div>
          </div>
 
          <div class="col-md-6">
            <div class="form-group">
              <label>实际到账</label>
              <span>（扣除手续费后的金额）</span>
              <input class="form-control" value="¥{$info['actual_amount']}" type="text" readonly>
            </div>
          </div>

          <div class="col-md-6">
            <div class="form-group">
              <label>申请时间</label>
              <span>（用户申请提现的时间）</span>
              <input class="form-control" value="{$info['create_time']}" type="text" readonly>
            </div>
          </div>

          <div class="col-md-6">
            <div class="form-group">
              <label>状态</label>
              <span>（提现状态）</span>
              <select class="form-control" name="status">
                <option value="0" {if condition="$info.status eq 0"}selected{/if}>待审核</option>
                <option value="1" {if condition="$info.status eq 1"}selected{/if}>已通过</option>
                <option value="2" {if condition="$info.status eq 2"}selected{/if}>已拒绝</option>
                <option value="3" {if condition="$info.status eq 3"}selected{/if}>处理中</option>
              </select>
            </div>
          </div>

          <div class="col-md-12">
            <div class="form-group">
              <label>提现账户信息</label>
              <span>（用户提现的账户信息）</span>
              <textarea class="form-control" rows="3" readonly>{$info['account_info']}</textarea>
            </div>
          </div>

          <div class="col-md-12">
            <div class="form-group">
              <label>审核备注</label>
              <span>（审核时的备注说明）</span>
              <textarea class="form-control" name="remark" rows="3" placeholder="请输入审核备注">{$info['remark']}</textarea>
            </div>
          </div>
            
        </div>
      </div>
      <div class="box-footer">
        
        <input type="hidden" name="id" value="{$info['id']|default='0'}"/>
        <input type="hidden" name="user_id" value="{$info['user_id']}"/>
          
        {include file="layout/edit_btn_group"/}
        
      </div>
    </div>
</form>